NINO FULLER


Address: 23914 County Road 3313, Chandler, TX 75758
Phone: 6072261012

NINO FULLER (NPI# 1962974469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962974469
Entity Type Individual
Full Name NINO FULLER
Credential AGACNP-BC
Practice Address 23914 County Road 3313
Chandler
TX 75758
Practice Telephone 6072261012
Mailing Telephone 6072261012
Enumeration Date 2018-12-20
Last Update Date 2018-12-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
866207 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX TEXAS BON 866207 01

Office Location

Street Address 23914 COUNTY ROAD 3313
City CHANDLER
State TX
Zip Code 75758

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215534979 Thomas Carder Pharmacist 703 Highway 31 E, Chandler, Texas, TX 75758 2020-10-06
1598382871 Richard William Limehouse Jr. Pharmacist 703 Highway 31, Chandler, TX 75758 2020-07-02
1750932554 Alisa Victoria Cook Technician 529 Pecos Dr, Chandler, TX 75758 2019-09-23
1649700386 Will Mayfield Dds, Pllc Dentist 216 Jones Street, Chandler, TX 75758 2017-06-15
1073960969 Tamra Lynn Anderson Registered Nurse 803 Highway 31 E, Chandler, TX 75758 2016-05-20
1265837595 Joe Spradley Contractor 2360 Hwy 315 S, Chandler, TX 75758 2014-10-29
1700125275 East Texas Recovery Substance Abuse Rehabilitation Facility 700 State Hwy 31, Suite 100, Chandler, TX 75758 2013-02-04
1922266998 Mary Margaret Brown Physical Therapist 321 Hwy 31e, Chandler, TX 75758 2008-05-27
1578754537 Jeremy Ray Gregory Specialist/Technologist 405 S Broad St, Chandler, TX 75758 2007-08-06
1912054081 Compassionate Hospice Care, Inc. Hospice Care, Community Based 625 Hwy 31 E, Suite 3, Chandler, TX 75758 2007-01-04
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326645250 Nalini Thangaraju Nurse Practitioner 4426 E Yellowstone Pl, Chandler, AZ 85249-0512 2020-10-04
1679034623 Jonnelle Lynne Dietz Nurse Practitioner 3230 N Woodburne Dr, Chandler, AZ 85224-1061 2019-03-30
1992139398 Dana Lynn Paquin Nurse Practitioner 1100 S Dobson Rd Ste A105, Chandler, AZ 85286-6157 2013-08-21
1346685492 Adrianna Sylvia-d'anella Goldstein Nurse Practitioner 1383 W Oriole Way, Chandler, AZ 85286-4361 2013-05-02
1225653694 Stephanie Flores Nurse Practitioner 1960 W Frye Rd Ste 5, Chandler, AZ 85224-6238 2020-06-11
1952946071 Renee Lopez Nurse Practitioner 1955 W Frye Rd, Chandler, AZ 85224-6282 2019-11-13
1962058818 Felecia Woods Nurse Practitioner 1955 W Frye Rd, Chandler, AZ 85224-6282 2019-08-16
1013481670 Saralyn Heddleston Nurse Practitioner 485 S Dobson Rd Ste 201, Chandler, AZ 85224 2019-01-17
1972075125 Michael Gasbarro Nurse Practitioner 1955 W Frye Rd, Chandler, AZ 85224-6282 2018-12-28
1316422777 Chris Tran First Assist LLC Nurse Practitioner 1955 W Frye Rd, Chandler, AZ 85224-6282 2018-10-01
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Competitor

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City CHANDLER
Zip Code 75758

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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